Nursing Membership Form

SACTEM Nursing Membership Form

This form is a one time information form for Registration of SACTEM Foundation. All the information provided in this form will be considered as final.

Your name*

Gender*
MaleFemale

Date of Birth*

Your email*

Mobile No.*

Academic Qualification*

Experience* (in Years)

Where did you hear about the organization?

Membership Categories & Fees
Student Membership (Rs. 300)Annual Membership (Rs. 500)Permanent Life Membership (Rs. 1000)

Kindly Upload Payment Proof(Screenshot)*

Bank Details:
Name- Society of acute care trauma and eme med
A/c- 50200096895332
Ifsc- HDFC0000722
Branch- Alambagh, lucknow

Note-

1- The Membership Fee is non-refundable & not adjustable in any circumstances.

2- In Case of Termination/Resignation from the Membership, the use of all official SACTEM belongings including Membership Card will become invalid & its responsibility of Member to return it to Chief Convener, SACTEM.